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General NPI Number Information
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NPI Number | 1952610438
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Entity Type | Organization
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Legal Business Name | LITTLEFIELD PHYSICAL THERAPY, INC.
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Dates
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Enumeration Date | 09/30/2010
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Last Update Date | 09/30/2010
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Provider Practice Location Address
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Address Line | 1445 N SUNRISE WAY STE. 102A
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City | PALM SPRINGS
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State | CA
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Zip | 92262-3700
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Country | US
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Telephone | 760-322-1014
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Fax | 760-322-1074
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Provider Business Mailing Address
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Address Line | PO BOX 893337
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City | TEMECULA
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State | CA
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Zip | 92589-3337
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Country | US
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Telephone | 951-676-7693
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Fax | 951-676-7830
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. PETER MARTIN LITTLEFIELD
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Credential |
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Telephone | 951-676-7693
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | 28443
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License Number State | CA
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